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Ultrasonography of the Adult Male Urinary Tract for Urinary Functional Testing
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Published on: August 14, 2019

What can we learn from pediatric urology certification logs?

Barry A Kogan1, Paul J Feustel

  • 1Division of Urology, Department of Surgery, Albany Medical College, Albany, New York 12208, USA. bkogan@communitcare.com

Urology
|May 3, 2011
PubMed
Summary

Pediatric urology practitioners seeking subspecialty certification primarily performed penile and groin surgeries, with fewer complex cases. This analysis offers insight into the operative practice of pediatric urology specialists.

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Area of Science:

  • Urology
  • Pediatric Surgery

Background:

  • The American Board of Urology introduced a certificate of special qualification in pediatric urology.
  • Practitioners applying for this certification submitted detailed billing logs.

Purpose of the Study:

  • To analyze operative practice patterns in pediatric urology.
  • To gain insights from billing logs of subspecialty certificate applicants.

Main Methods:

  • Reviewed de-identified practice logs from 2007-2008 for pediatric urology subspecialty applicants.
  • Categorized cases by severity and type, and analyzed practitioner case volumes.
  • Examined variations in experience, geography, and practice type.

Main Results:

  • Analyzed 230 logs, with a median of 505 cases per practitioner annually.
  • Most common procedures included circumcision (55/year), orchiopexy (40/year), and hernia repair (40/year).
  • Major procedures were infrequent, such as proximal hypospadias (2/year) and genital reconstruction (1/year).

Conclusions:

  • The typical applicant in 2006-2007 focused on penile and groin procedures.
  • Subspecialty training in pediatric urology involved a limited volume of major reconstructive cases.